Mary Dominguez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0017339 Issued in CO

Practice address

12211 W Alameda Pkwy Ste 105
Lakewood, CO 80228-2825

Phone

(979) 777-5993

NPI assigned

Sep 5, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green Mountain Counseling LLC

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1952017337
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1891520169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 NEWLAND ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336443",
            "telephone_number": "979-777-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W ALAMEDA PKWY STE 105",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282825",
            "telephone_number": "979-777-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan K Dole, QBHA
• Hannah J Dolph, RN
• Carrie Doman, PTA
• Sarah Domenico
• Cassundra Michelle Dominguez
• Arthur Harvey Donahue, DO
• Cristina Donahue
• Jessica Renee Donahue, PA-C
• Donald a Decino, D.D.S., P,C,
• Donald Aspegren, DC, PC

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.